| Formulaire
d'inscription AGA 2002 AGM Registration form |
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| Nom/Name: |
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| Adresse/Address: |
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| Tél/Tel: |
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| Courriel/E-mail: |
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| Nom du Club/Name of Club: |
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| Coûts/Costs:
Total |
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| Frais
d'inscription/Registration Fee: |
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| Avant le 26 avril/Before
April 26 15.00$/pers
( ) |
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| Après le 26 avril/After April
26: 30.00$/pers ( ) Encerclez vos choix d'activités |
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Circle your choice of activities |
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| Banquet du samedi
soir/Saturday night Banquet
25.00$/pers*
( ) |
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| *poulet/chichen (___)
*saumon/salmon(___) *végétarien/vegetarian(___) |
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Samedi/Saturday |
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| Repas/Boxed
lunches 6.00$/pers
(samedi/Saturday) ( ) -A- -B-
-C- -D- -E- |
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| Repas/Boxed lunches 6.00$/pers (dimanche/Sunday) ( ) -F- -G-
-H- -I- -J- |
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dimanche/Sunday |
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| Sortie en Kayak/Kayak
outing 20.00$/pers (max 22 par
sortie/per outting ( )
-K- -L- -M- -N-
-O- -P- |
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| Canot
Voyageur/Voyageur canoe Parc nat.Kouchibouguac Nat. Park (max 16 pers) |
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| Total ci-inclus/total
inclosed:
( ) |
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| Veuillez noter |
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| L'Association des Naturalistes de la Baie de Bouctouche,
la FNNB et le Parc Kouchibouguac ne seront pas
tenus responsables |
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| de tout accident, blessure ou
dommage subis par toute personne participant aux activités de la fin de |
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| semaine du 31 mai, 1 et 2
juin, 2002. Nous, sousignés,
acceptons de participer à nos propres risques. |
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| Please note |
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| The Association des Naturalistes de la Baie de Bouctouche,
the NBFN and Kouchibouguac National park are not
responsible or liable |
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| for accidents, injuries or
damages to persons participating in any of the activities of the weekend of
may |
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| 31st, june 1st and 2nd. We,
the undersigned, accept to participate at our own risk. |
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| Signature(s) |
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| Date: |
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| Questions: 506-743-8485 ou/or 506-576-1075 ou/or
anbbouct@yahoo.com |
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| http://www.oocities.org/anbbouct/ |
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| Chèque ou Mandat Poste
payable à: /Check or Money Order payable to: |
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| L'Association des Naturalistes
de la Baie de Bouctouche (ANBB) |
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| à l'attention de/
attention: Marc LeBlanc, trésorier |
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| 383, Chemin de la Côte |
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| Grand-Digue, N.B. |
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| E4R 4A9 |
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